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KRISTINE HIRAYAMA PSY.D.
NPI 1891978813
Psychologist - Clinical in San Bernardino, CA

Active since December 12, 2007PECOS EnrolledAccepts Medicare Assignment
1963 N E ST, SAN BERNARDINO, CA 92405(909) 881-6146(909) 881-0111 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristine Hirayama Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE HIRAYAMA PSY.D. (NPI 1891978813) is an individual clinical provider in San Bernardino, California, licensed in California (PSY25892) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1891978813
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKRISTINE HIRAYAMACredential: PSY.D.
Location Address1963 N E STSan Bernardino, CA 92405-3919
Mailing Address1963 N E StSan Bernardino, CA 92405-3919 · (909) 881-6146 · Fax (909) 881-0111
Phone(909) 881-6146
Fax(909) 881-0111
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 12, 2007
Last NPPES UpdateDecember 2, 2021
✔ NPI 1891978813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY25892
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1963 N E ST, San Bernardino, CA 92405
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristine Hirayama Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911229422
PECOS Enrollment IDI20141210002566
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY GUZMAN
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
SUSAN M. REED
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
GRACE NEWLAND
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
E'BONIQUE A SULLIVAN
Counselor
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
GLENDA VALENZUELA
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
MS. LAURA ANNE GRIFFIN
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6148
JASMIN K WHITE CADC-1
Counselor (Addiction (Substance Use Disorder))
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146
MR. JAMES EARL CEPHAS M.A
Student in an Organized Health Care Education/Training Program
1963 N E ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-6146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Hirayama's NPI number?

The NPI number for Kristine Hirayama is 1891978813. It was assigned to this individual provider in the NPPES registry on December 12, 2007.

Where is Kristine Hirayama located?

Kristine Hirayama practices at 1963 N E St, San Bernardino, CA 92405. The listed phone number is (909) 881-6146.

What is Kristine Hirayama's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kristine Hirayama enrolled in Medicare?

Yes. Kristine Hirayama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kristine Hirayama was last updated on December 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.